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Individual
LESLY KUJAWA
Active
Individual
LESLY KUJAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RTY200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
RYT#171772
FL
2255A2300X
Athletic Trainer
Primary
RYT200
FL
Other
Enumeration date
05/25/2016
Last updated
01/30/2017
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